![]() ![]() The CMS reimbursement program is not a market-driven economic system. Speaking bluntly, these cuts will financially ruin many practices if they attempt to continue in their current paths. While our costs never seem to go down, our revenue is about to take a major, direct hit. Many of our practices already operate at high overhead levels because of the ever-increasing need for sophisticated capital equipment and highly trained staff in our technology-driven specialty. Cataract fees represent a large percentage of the typical anterior segment surgeon’s revenue. Fairly quickly, the message board discussions quieted down, and most surgeons resigned themselves to this new financial reality.Ī 15% cut to Medicare cataract fees will have a dramatic and, frankly, devastating financial effect on many practices across the country, perhaps to a degree many have not yet fully comprehended. Rest assured, the proposed reductions were the result of intense negotiations among the AAO, ASCRS, and CMS that likely prevented much deeper cuts. A fair bit of anger was directed at our professional societies for “agreeing” to these proposed cuts. Given the general economic forces at work, the aging population, and the rising overall cost of health care, it is unrealistic to assume that these proposed cuts will be the last.Īfter the proposed cataract cuts were announced, our professional message boards lit up with outrage, despair, and discussions of the feasibility of opting out of Medicare entirely. The most recent proposed CMS cuts to reimbursement for cataract surgery are just the latest in a long line of cuts to reimbursement for this procedure. It’s a great story, undiminished by the fact that it is scientifically untrue. This story addresses the human tendency to accept highly undesirable circumstances if the onset of said circumstances is sufficiently gradual. Most of us have heard some version of the story of the frog and the boiling water, wherein a frog placed into boiling water will immediately jump out, but, if the same frog is placed in room temperature water that is subsequently gradually heated, the frog will remain in the water until it is cooked. Improving the Quality of Cataract Surgery Outcomes With OMIDRIA (phenylephrine and ketorolac intraocular solution) 1% / 0.3% Which Patients Should We Offer iStent inject To? Hand-in-Hand: MIGS & Advanced Refractive Cataract Surgery IStent inject: What Do the Data sets Tell Us or Not Tell Us? One-Year Comparative Evaluation of iStent or iStent inject Implantation Combined With Cataract Surgery in a Single Center IStent inject Versus iStent: The iStent inject Advantage Goals of Treating Glaucoma During Cataract Surgery Key Insights: CENTURION with ACTIVE SENTRY Handpiece and INTREPID Hybrid Tip Neural Adaptation Considerations and Negative Dysphotopsia The Role of Ocular Surface Analysis Prior to Cataract Surgery The Doctor-Patient Relationship, the Keystone of Medical Care, and the Foundation of Predictable Outcomes in Cataract Surgeries ![]() ![]() SMILE: It’s What Patients Have Been Waiting For Transitioning Away From Postoperative DropsĪcademic Medicine: Gender Disparity Behind the Lines The Role of Physician Extenders in OphthalmologyĪn Anterior Segment Surgeon’s Take on Intravitreal Injection Laser Vision Correction Enhancement MethodsĬataract Surgery in Patients After High Myopic LASIK Managing Unsatisfied Premium IOL Patients How to Protect the Refractive Surgery Ecosystem From Damaging Marketing Presbyopia-Correcting IOLs: Impact on Quality of Life ![]()
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